Basic Information
| Provider Information | |||||||||
| NPI: | 1023737681 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEGLEY | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17102 SW PACIFIC HWY APT 147 | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972244009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6315149271 | ||||||||
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| Practice Location | |||||||||
| Address1: | 202 N DIVISION ST | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980014939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535452050 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2022 | ||||||||
| LastUpdateDate: | 08/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | RN61274358 | WA | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.